Provider Demographics
NPI:1801018015
Name:HARTMAN, RICHARD E (MS)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:E
Last Name:HARTMAN
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13711 SE 7TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3710
Mailing Address - Country:US
Mailing Address - Phone:425-228-0074
Mailing Address - Fax:425-226-2531
Practice Address - Street 1:220 S 3RD PL
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-2405
Practice Address - Country:US
Practice Address - Phone:425-228-0074
Practice Address - Fax:425-226-2531
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004817101YM0800X
WALF00001110106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist